慢性病门诊待遇对患者就医行为、健康产出及医疗费用的影响研究:以高血压患者为例
An Analysis on the Role of Outpatient Security in Health Seeking Behavior,Health Protection and Medical Expenses for Chronic Diseases:Taking Hypertension Patients as an Example
杜雯雯 1刘萍 1徐伟1
作者信息
- 1. 中国药科大学国际医药商学院 南京 211198
- 折叠
摘要
目的:探究慢性病门诊待遇对患者就医行为、健康产出以及医疗费用的影响.方法:基于南京市样本地区城乡居民高血压参保患者2019-2021年的就诊数据,利用个体时间双向固定效应模型及Utest检验,分析慢性病门诊待遇与患者就医行为、健康产出以及医疗费用之间的数量关系.结果:当慢性病患者的年门诊实际报销比处于(42.99％,64.11％)此区间时,增强门诊保障待遇,方可同时促进患者合理就医、保障患者健康以及控制医疗费用.结论:适度提高慢性病患者的门诊待遇,可以让慢性病患者有更合理的就医行为和更好的健康产出,并在此基础上实现医疗费用的控制和基本医疗保险统筹基金的有效利用.
Abstract
Objectives:To find the impact of outpatient security in health seeking behavior,health protection and medical ex-pense for chronic diseases.Methods:Based on the hypertension patients'all medical visits records of urban and rural residents who were insured under the basic medical insurance system in sample region of Nanjing from 2019 to 2021,the quantitative relationship between chronic disease outpatient treatment and patients'healthcare behaviors,health outputs,and healthcare costs was analyzed by an individual-time two-way fixed effect model and Utest test.Results:When the annual outpatient reimbursement ratio is in the range of(42.99％,64.11％),strengthening the security for outpatient service could make people seek medical advice reasonably and achieve a better health outcome,as well as controlling the medical expenses.Conclusion:Properly raising actual compensation for chronic outpatient care could lead to the rational health-seeking behaviors,safeguarding health for the insured,and on this basis,achieve control of medical costs and effective use of the basic medical insurance pool.
关键词
慢性病门诊待遇/就医行为/健康产出/医疗费用Key words
reimbursement of outpatient care for chronic diseases/health seeking behavior/health outcome/medical expense引用本文复制引用
基金项目
国家自然科学基金(72074220)
江苏省高等学校哲学社会科学研究一般项目(2023)(2023SJYB0073)
出版年
2024
NETL
NSTL
万方数据